HomeMy WebLinkAbout0151823 - Building (roof) CITY OF OSHKOSH No 151823
OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 314 BAY ST _ Owner DARCY L/CONNIE SCHRAVEN Create Date 08/06/2012
Designer Contractor OWNER
Inspector John Zarate
Category 042-Residential Siding Plan
Type • Building 0 Sign O Canopy O Fence O Raze
Zoning R-4 Class of Const: Size
Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection
Finished/Living Sq.Ft. Bedrooms Stories Canopies
Garage Sq.Ft. Baths Signs
Foundation • Poured Concrete O Floating Slab O Pier 0 Other
0 Concrete Block O Post O Treated Wood
Occupancy Permit Not Required Occupancy Fee $0.00 Flood Plain Height Permit Not Required
Park Dedication Not Required #Dwelling Units 0 #Structures 0
Use/Nature SFR/TEAR OFF AND REPLACE EXISTING ROOFING,WOOD DECKING AND REPLACING ASPHALT WITH SIMULATED STONE
of Work SIDING ON THE HOUSE ONLY,NO STRUCTURAL CHANGES
II
HVAC Contractor Plumbing Contractor
Electric Contractor
Fees: Valuation 500.00 Plan Approval $0.00 Permit Fee Paid $88.00 Park Dedication $0.00
Issued Byl;Y1 Date 08/20/2012 Final/O.P. 00/00/0000
❑ Permit Voided j Parcel Id#0201450100
Cautionary Statement to Owners Obtaining Building Permits
101.65(1 r)of the Wisconsin Statutes requires municipalities that enforce the Uniform Dwelling Code to provide an owner who applies for a
building permit with a statement advising the owner that:
If the owner hires a contractor to perform work under the building permit and the contractor is not bonded or insured as required under
s. 101.654(2)(a),the following consequences might occur:
(a)The Owner may be held liable for any bodily injury to or death of others or for any damage to the property of others that arises out of
the work performed under the building permit or that is caused by any negligence by the contractor that occurs in connection with the
work performed under the building permit.
(b)The Owner may not be able to collect from the contractor damages for any loss sustained by the owner because of a violation by the
contractor of the one and two family dwelling code or an ordinance enacted under sub. (1)(a),because of any bodily injury to or
death of others or damage to the property of others that arise out of the work performed under the building permit or because of any
bodily injury to or death of others of damage to the property of others that is caused by any negligence by the contractor that occurs
in connection with the work performed under the building permit.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to se a any necessa =•`.rovals before starting such activity.
I have read and rstand the afy i.,-ntioned information.
�_ Date (�/1Z
Signature d
Agent/Owner
Address 314 BAY ST OSHKOSH WI 54901 - 5113 Telephone Number
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City Oshkosh
4r1111)
Inspection Services Division
PO Box 1130
Oshkosh,WI 54903-1130
Phone: (920)236-5050 Of HKO��
Fax:(920)236-5084 II��
ON THE WATER
Roofing & Siding Permit Application
• Application(s)and fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1 128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ri
JOB ADDRESS 314 64,-/ EE F
OWNER L4� 6c_%4 4s r:
CONTRACTOR
I am the: E Owner OR ❑ Contractor
1.15E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
Work being done:
ROOFING
[M 1 ear off and replace existing roofing on 1211---touse,❑garage
'Replace wood decking
❑Add 1 layer of roofing to the existing � rlayer(s)on❑house,❑garage
This work is being done due to❑Hail Damage l,d/Other old
SIDING
�nstall siding on Cdhouse, ❑garage
❑Replacing vinyl with vinyl
❑Replacing steel or aluminum with vinyl(circle steel or aluminum) I
El/Replacing with 6 i m U -i .� "-
This work is being done due to 241 Hail Damage ❑Other 011
When siding is done, one of the boxes below must be checked:
1) ❑Electric—Existing Electric Meter,receptacle,lighting and Electric Service entrance alterations/modifications are being performed
by
(Name of Licensed Electric Contractor)
AND ❑Electric Installation Verification form is attached OR ❑Separate Elect Permit will be requested.
2) ❑Electric—Not Applicable because: ❑J Blocks previously installed. ❑No outside lights. ❑Other
❑Install new or❑Replace gutters
❑Install new or❑Replace downspouts
Other related work being done: (please note)
Value of the job $ /`D (include fair market price for labor even if you are not paying for labor) 03/02